CVS (Chorionic Villus Sampling) Concerns
The short answer
Chorionic villus sampling (CVS) is a diagnostic test performed between 10-13 weeks that analyzes placental tissue to detect chromosomal conditions and genetic disorders. Like amniocentesis, it is over 99% accurate. The procedure carries a miscarriage risk of about 1 in 500. CVS offers the advantage of earlier results compared to amniocentesis.
Parents everywhere have the same worry. You are doing the right thing by looking into it.
By Age
What to expect by age
CVS is performed between 10-13 weeks, making it available earlier than amniocentesis (15-20 weeks). A small sample of placental tissue (chorionic villi) is collected either through the cervix (transcervical) or through the abdomen (transabdominal), guided by ultrasound. Results are typically available within 1-2 weeks. CVS cannot test for neural tube defects, which amniocentesis can detect.
What Should You Do?
When to take action
- Mild cramping or spotting after the procedure
- Anxiety while waiting for results
- Taking a day to rest afterward
- You want to discuss whether CVS or amniocentesis is more appropriate for your situation
- You want earlier diagnostic results than amniocentesis can provide
- You need genetic counseling to understand your options
- Heavy bleeding or fluid leaking after CVS
- Fever or severe abdominal pain after the procedure
- Signs of infection after the procedure
Sources
Related Resources
Trust your instincts. If something feels wrong, reach out to your pediatrician.
Worrying about your baby means you care. That is a good thing.
Related Maternal Concerns
Amniocentesis Questions and Fears
Amniocentesis is a diagnostic test performed between 15-20 weeks that analyzes amniotic fluid to detect chromosomal conditions and genetic disorders with over 99% accuracy. The risk of pregnancy loss from the procedure is approximately 1 in 500-1,000 when performed by an experienced provider. Understanding the actual risks can help you make an informed decision.
Dealing with Abnormal Prenatal Screening Results
An abnormal prenatal screening result can be terrifying, but it is important to understand that screening tests are designed to cast a wide net and have significant false-positive rates. Most people with abnormal screening results go on to have healthy babies after further testing confirms the baby is fine. An abnormal screening is a reason for more information, not a diagnosis.
Anxiety About Prenatal Tests
Anxiety about prenatal tests is extremely common. Many parents feel nervous about what tests might reveal. Remember that most screening tests have a high rate of reassuring results, and even abnormal screenings often turn out to be false positives. You have the right to choose which tests you want and to decline any test. Understanding what each test tells you can help reduce anxiety.
Pregnancy Over 35 (Advanced Maternal Age)
While pregnancy after 35 carries some increased risks (including chromosomal abnormalities, gestational diabetes, and hypertension), the vast majority of people over 35 have healthy pregnancies and healthy babies. The term "geriatric pregnancy" is outdated and does not reflect reality. With appropriate prenatal care and monitoring, outcomes are excellent.
20-Week Anatomy Scan Unexpected Findings
The 20-week anatomy scan checks your baby's major organs, structures, and growth. Most scans are completely normal. When unexpected findings are identified, they range from minor variants that resolve on their own to conditions that need further evaluation. Many findings require nothing more than a follow-up ultrasound to confirm the baby is developing well.
Less Movement with Anterior Placenta
An anterior placenta (attached to the front wall of the uterus) acts as a cushion between the baby and your belly wall, which can make movements feel muffled or less intense. You may feel movement later (22-24 weeks instead of 18-20) and primarily on the sides and lower belly. This is normal, but you should still feel regular movement once it is established.